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Facts about ORYX for ALC Program

  • The Joint Commission’s ORYX initiative integrates performance measurement data into the accreditation process.
  • ORYX measurement requirements support Joint Commission-accredited organizations in their quality improvement efforts.

The following sections provide the ORYX reporting requirements for the respective year and links to important resources and supporting material.


ALC Performance Measures

Joint Commission–accredited assisted living communities (ALCs) are required to report ORYX Performance Measurement data to The Joint Commission via the Direct Data Submission Platform (DDSP) on all measures for all four quarters effective 1/1/2024.

To improve the quality of life for residents, accredited communities will abstract standardized performance measures, which allows organizations to track the care provided to their residents and improve that care, where needed.

Assisted Living Community Standardized Performance Measures

  • ALC-01 Off-Label Antipsychotic Drug Use
  • ALC-02 Resident Falls
  • ALC-03 Resident Preferences and Goals of Care
  • ALC-04 Advanced Care Plan/Surrogate Decision-Maker
  • ALC-05 Staff Stability

2024: ALC ORYX Performance Measurement Reporting Requirements

ALC Performance Measures

To improve the quality of life for residents, accredited communities will abstract standardized performance measures, which allows organizations to track the care provided to their residents and improve that care, where needed.

Assisted Living Community Standardized Performance Measures

  • ALC-01 Off-Label Antipsychotic Drug Use
  • ALC-02 Resident Falls
  • ALC-03 Resident Preferences and Goals of Care
  • ALC-04 Advanced Care Plan/Surrogate Decision-Maker
  • ALC-05 Staff Stability

2023: ALC ORYX Performance Measurement Reporting Requirements

The following key communications were sent to Assisted Living Communities related to Performance Measurement:

View key communications Download key communications

Measure specifications are detailed in the Specifications Manual which is accessible on The Joint Commission's website under the Specifications Manuals/Chart Abstracted Measures page.

Joint Commission Specifications Manuals

Data Entry Guide for Chart-Abstracted Measures:

This guide describes the aggregate data requirements for Assisted Living Communities (ALC) submitting chart-abstracted measure data the Direct Data Submission Platform.

Download the ALC guide

(Last Updated: February 2023)

A webinar, Assisted Living Community Measures, is available for education on the measure specifications and data collection. It can be found under the Quality Measurement and Videos/Measure Specific Webinars Page.

Measure specific webinars Video shorts